Victor J Vivas Lopez, PSYD, BHC, MAC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9229 Issued in PR

Practice address

Grand Health Center, 399 Calle Villa, Esq Concordia
Ponce, PR 00717

Phone

(939) 373-5092

NPI assigned

Jun 17, 2022

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1730810193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GRAND HEALTH CENTER, #399 CALLE VILLA, ESQ CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "939-373-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRAND HEALTH CENTER, 399 CALLE VILLA, ESQ CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "939-373-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVAS LOPEZ",
        "first_name": "VICTOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD, BHC, MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "9229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vip Med LLC
• Yisselle Ilene Virella Perez, M.D.
• Andrea Natalia Viruet Pantoja
• Vita Care,LLC
• Vitalifera LLC
• Joshua Abet Vivas Rodriguez, MS
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-2026)
• Wal-Mart Puerto Rico Inc (Sam's Pharmacy 10-6690)
• Wal-Mart Puerto Rico Inc (Sam's Optical Center 30-6690)
• Wal-Mart Puerto Rico Inc (Walmart Pharmacy 10-2026)

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.